CA2131702A1 - Improved Venous Valve Cutter for In-Situ Incision of Venous Valve Leaflets - Google Patents
Improved Venous Valve Cutter for In-Situ Incision of Venous Valve LeafletsInfo
- Publication number
- CA2131702A1 CA2131702A1 CA 2131702 CA2131702A CA2131702A1 CA 2131702 A1 CA2131702 A1 CA 2131702A1 CA 2131702 CA2131702 CA 2131702 CA 2131702 A CA2131702 A CA 2131702A CA 2131702 A1 CA2131702 A1 CA 2131702A1
- Authority
- CA
- Canada
- Prior art keywords
- venous valve
- incision
- situ
- cutter
- cutting
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 210000002073 venous valve Anatomy 0.000 title abstract 3
- 238000011065 in-situ storage Methods 0.000 title abstract 2
- 210000003038 endothelium Anatomy 0.000 abstract 1
- 210000003462 vein Anatomy 0.000 abstract 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
- A61B17/32075—Pullback cutting; combined forward and pullback cutting, e.g. with cutters at both sides of the plaque
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22097—Valve removal in veins
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
- Scissors And Nippers (AREA)
- External Artificial Organs (AREA)
Abstract
An improved valve cutter (10) for in-situ incision of valve leaflets which safely, efficiently, and consistently renders venous valves incompetent while minimizing frictional forces on the endothelium of the vessel and preventing inadvertent contact between cutting surfaces and the intima of the vein wall. The valve cutter (10) includes a plurality of proximally directed prongs (36) presenting sharp edges, where the prongs (36) are separated by slots (38) similarly presenting sharp edges to pierce the valve leaflets so that the cutting head (12) is provided with a continuous cutting surface in multiple planes running along the entire forward edge of the cutting head. Means are provided for viewing the valves as they are penetrated by the sharp cutting edges.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US07/865,850 US5304189A (en) | 1992-04-09 | 1992-04-09 | Venous valve cutter for in situ incision of venous valve leaflets |
US07/865,850 | 1992-04-09 |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2131702A1 true CA2131702A1 (en) | 1993-10-28 |
CA2131702C CA2131702C (en) | 1999-03-23 |
Family
ID=25346379
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002131702A Expired - Fee Related CA2131702C (en) | 1992-04-09 | 1993-04-09 | Improved venous valve cutter for in-situ incision of venous valve leaflets |
Country Status (8)
Country | Link |
---|---|
US (2) | US5304189A (en) |
EP (1) | EP0680281B1 (en) |
JP (1) | JP3321165B2 (en) |
AU (1) | AU673522B2 (en) |
CA (1) | CA2131702C (en) |
DE (1) | DE69329466T2 (en) |
ES (1) | ES2151905T3 (en) |
WO (1) | WO1993020764A1 (en) |
Families Citing this family (83)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH07148174A (en) * | 1993-11-26 | 1995-06-13 | Olympus Optical Co Ltd | Intravenous valve cutting instrument |
US5902313A (en) * | 1994-03-09 | 1999-05-11 | Redha; Falah | Medical instrument for atherectomy |
WO1995028888A1 (en) * | 1994-04-25 | 1995-11-02 | Gore & Ass | A valvulotome |
US5658301A (en) * | 1995-04-26 | 1997-08-19 | Vascutech, Inc. | Self-centering valvulotome |
US7384423B1 (en) * | 1995-07-13 | 2008-06-10 | Origin Medsystems, Inc. | Tissue dissection method |
AU6904196A (en) * | 1995-11-01 | 1997-05-22 | W.L. Gore & Associates, Inc. | A valvulotome |
US5843104A (en) * | 1995-11-21 | 1998-12-01 | Samuels; Peter B. | Method of removing blood vessels from the human body |
US5846241A (en) * | 1995-12-19 | 1998-12-08 | Johns Hopkins University | Bipolar electrocautery valvulotome |
US6090118A (en) | 1998-07-23 | 2000-07-18 | Mcguckin, Jr.; James F. | Rotational thrombectomy apparatus and method with standing wave |
US7037316B2 (en) * | 1997-07-24 | 2006-05-02 | Mcguckin Jr James F | Rotational thrombectomy device |
WO2001028618A2 (en) | 1999-10-22 | 2001-04-26 | Boston Scientific Corporation | Double balloon thrombectomy catheter |
US7326178B1 (en) | 1998-06-22 | 2008-02-05 | Origin Medsystems, Inc. | Vessel retraction device and method |
US6976957B1 (en) * | 1998-06-22 | 2005-12-20 | Origin Medsystems, Inc. | Cannula-based surgical instrument and method |
US6830546B1 (en) | 1998-06-22 | 2004-12-14 | Origin Medsystems, Inc. | Device and method for remote vessel ligation |
EP0979635A2 (en) | 1998-08-12 | 2000-02-16 | Origin Medsystems, Inc. | Tissue dissector apparatus |
US7398781B1 (en) * | 1999-08-10 | 2008-07-15 | Maquet Cardiovascular, Llc | Method for subxiphoid endoscopic access |
US20040102804A1 (en) * | 1999-08-10 | 2004-05-27 | Chin Albert K. | Apparatus and methods for endoscopic surgical procedures |
US7288096B2 (en) * | 2003-01-17 | 2007-10-30 | Origin Medsystems, Inc. | Apparatus for placement of cardiac defibrillator and pacer |
US20030187460A1 (en) * | 1999-08-10 | 2003-10-02 | Chin Albert K. | Methods and apparatus for endoscopic cardiac surgery |
US6315793B1 (en) | 1999-09-08 | 2001-11-13 | Medical Carbon Research Institute, Llc | Prosthetic venous valves |
US8414543B2 (en) | 1999-10-22 | 2013-04-09 | Rex Medical, L.P. | Rotational thrombectomy wire with blocking device |
US7789876B2 (en) * | 2000-08-14 | 2010-09-07 | Tyco Healthcare Group, Lp | Method and apparatus for positioning a catheter relative to an anatomical junction |
US6558313B1 (en) | 2000-11-17 | 2003-05-06 | Embro Corporation | Vein harvesting system and method |
US6788266B2 (en) * | 2001-04-27 | 2004-09-07 | Tyco Electronics Logistics Ag | Diversity slot antenna |
US20040092990A1 (en) * | 2002-07-11 | 2004-05-13 | Opie John C. | Endovascular guide for use with a percutaneous device for harvesting tubular body members |
US7831297B2 (en) * | 2003-05-24 | 2010-11-09 | Scottsdale Medical Devices, Inc. | Guide wire torque device |
US20040122458A1 (en) * | 2002-07-11 | 2004-06-24 | Opie John C. | Percutaneous device and method for harvesting tubular body members |
EP1547527A1 (en) * | 2002-09-09 | 2005-06-29 | Junichi Ninomiya | Stripping wire and stripping catheter for evulsing vein |
US20040204730A1 (en) * | 2003-04-08 | 2004-10-14 | Goldberg Mark C. | Surgical valve cutter |
US7717930B2 (en) * | 2004-02-27 | 2010-05-18 | Cook Incorporated | Valvulotome with a cutting edge |
US8398663B2 (en) * | 2004-02-27 | 2013-03-19 | Cook Medical Technologies Llc | Valvulotome device and method |
WO2005086692A2 (en) * | 2004-03-05 | 2005-09-22 | Koven Technology Canada Inc. | Valvulotome |
GB0419954D0 (en) | 2004-09-08 | 2004-10-13 | Advotek Medical Devices Ltd | System for directing therapy |
US8328797B2 (en) * | 2004-12-23 | 2012-12-11 | C. R. Bard, Inc. | Blood vessel transecting and anastomosis |
US8372097B2 (en) * | 2005-03-04 | 2013-02-12 | Koven Technology Canada Inc. | Valvulotome |
US10653440B2 (en) * | 2005-04-15 | 2020-05-19 | Cook Medical Technologies Llc | Tip for lead extraction device |
GB2434101A (en) * | 2005-12-21 | 2007-07-18 | Northwick Park Biomedical Serv | A fistula cutting device |
US20070244371A1 (en) * | 2006-04-04 | 2007-10-18 | Nguyen Hoa D | Phlebectomy illumination device and methods |
US20130190676A1 (en) | 2006-04-20 | 2013-07-25 | Limflow Gmbh | Devices and methods for fluid flow through body passages |
US9770230B2 (en) | 2006-06-01 | 2017-09-26 | Maquet Cardiovascular Llc | Endoscopic vessel harvesting system components |
EP2037821B1 (en) | 2006-06-30 | 2022-06-22 | Atheromed, Inc. | Atherectomy devices |
US8361094B2 (en) | 2006-06-30 | 2013-01-29 | Atheromed, Inc. | Atherectomy devices and methods |
US20090018566A1 (en) | 2006-06-30 | 2009-01-15 | Artheromed, Inc. | Atherectomy devices, systems, and methods |
US7981128B2 (en) | 2006-06-30 | 2011-07-19 | Atheromed, Inc. | Atherectomy devices and methods |
US7815676B2 (en) * | 2006-07-07 | 2010-10-19 | The Cleveland Clinic Foundation | Apparatus and method for assisting in the removal of a cardiac valve |
US8070799B2 (en) | 2006-12-19 | 2011-12-06 | Sorin Biomedica Cardio S.R.L. | Instrument and method for in situ deployment of cardiac valve prostheses |
US20080147181A1 (en) * | 2006-12-19 | 2008-06-19 | Sorin Biomedica Cardio S.R.L. | Device for in situ axial and radial positioning of cardiac valve prostheses |
EP2033581A1 (en) | 2007-09-07 | 2009-03-11 | Sorin Biomedica Cardio S.R.L. | Prosthetic valve delivery system including retrograde/antegrade approch |
US8114154B2 (en) | 2007-09-07 | 2012-02-14 | Sorin Biomedica Cardio S.R.L. | Fluid-filled delivery system for in situ deployment of cardiac valve prostheses |
US8808367B2 (en) | 2007-09-07 | 2014-08-19 | Sorin Group Italia S.R.L. | Prosthetic valve delivery system including retrograde/antegrade approach |
US8070762B2 (en) | 2007-10-22 | 2011-12-06 | Atheromed Inc. | Atherectomy devices and methods |
US20100280328A1 (en) * | 2009-05-01 | 2010-11-04 | Tyco Healthcare Group, Lp | Methods and systems for illumination during phlebectomy procedures |
EP2250970B1 (en) * | 2009-05-13 | 2012-12-26 | Sorin Biomedica Cardio S.r.l. | Device for surgical interventions |
US8353953B2 (en) * | 2009-05-13 | 2013-01-15 | Sorin Biomedica Cardio, S.R.L. | Device for the in situ delivery of heart valves |
EP2250975B1 (en) * | 2009-05-13 | 2013-02-27 | Sorin Biomedica Cardio S.r.l. | Device for the in situ delivery of heart valves |
IT1395890B1 (en) * | 2009-07-24 | 2012-10-26 | Zeppi | DEVICE FOR THE TREATMENT OF VALVULAR MALFORMATIONS IN PERIPHERAL VENOUS VASES, WHICH, FOR EXAMPLE, THE INTERNAL JUNCTIONAL VEINS, IS RELATIVE TO THE KIT |
CA2802754A1 (en) | 2010-06-22 | 2011-12-29 | Lemaitre Vascular, Inc. | Over-the-wire valvulotomes |
US20120303048A1 (en) | 2011-05-24 | 2012-11-29 | Sorin Biomedica Cardio S.R.I. | Transapical valve replacement |
US9198681B2 (en) | 2012-10-12 | 2015-12-01 | Cook Medical Technologies Llc | Device and method for removing tissue inside a body vessel |
US9636139B2 (en) | 2012-12-12 | 2017-05-02 | Covidien Lp | Tissue-removing catheter with ball and socket deployment mechanism |
JP6257104B2 (en) | 2012-12-12 | 2018-01-10 | コヴィディエン リミテッド パートナーシップ | Tissue removal catheter including screw blade and cutter drive shaft |
JP6096318B2 (en) | 2012-12-12 | 2017-03-15 | コヴィディエン リミテッド パートナーシップ | Cutter for tissue removal catheter |
US9636138B2 (en) | 2012-12-12 | 2017-05-02 | Covidien Lp | Tissue-removing catheter including force-transmitting member for actuating a cutter housing |
JP6110509B2 (en) | 2012-12-12 | 2017-04-05 | コヴィディエン リミテッド パートナーシップ | Tissue removal catheter including pressing mechanism |
EP2931152B1 (en) | 2012-12-12 | 2019-09-18 | Covidien LP | Tissue-removing catheter for body lumen |
US10835367B2 (en) | 2013-03-08 | 2020-11-17 | Limflow Gmbh | Devices for fluid flow through body passages |
CN114431933A (en) | 2013-03-08 | 2022-05-06 | 林弗洛公司 | Methods and systems for providing or maintaining fluid flow through a body passageway |
US9770258B2 (en) | 2013-07-31 | 2017-09-26 | Atheromed, Inc. | Atherectomy devices |
US9782191B2 (en) | 2014-01-21 | 2017-10-10 | Cook Medical Technologies Llc | Cutting devices and methods |
WO2015118603A1 (en) * | 2014-02-04 | 2015-08-13 | 隆俊 古屋 | Venous valve cutting blade and production method therefor |
JP6372366B2 (en) * | 2014-02-04 | 2018-08-15 | 隆俊 古屋 | Venous valve incision blade and method of manufacturing the same |
DE102015101418B4 (en) * | 2014-02-04 | 2018-05-30 | Takatoshi FURUYA | Venous valve cutting device and method for its production |
US9545263B2 (en) * | 2014-06-19 | 2017-01-17 | Limflow Gmbh | Devices and methods for treating lower extremity vasculature |
US10456161B2 (en) | 2016-04-14 | 2019-10-29 | Covidien Lp | Tissue-removing catheter with adjustment mechanism |
CN110730634A (en) | 2017-04-10 | 2020-01-24 | 林弗洛公司 | Apparatus and method for treating the vasculature of a lower limb |
WO2019092031A1 (en) * | 2017-11-09 | 2019-05-16 | Medical Instruments S.P.A. | Instrument for cutting heart valves |
US11504231B2 (en) | 2018-05-23 | 2022-11-22 | Corcym S.R.L. | Cardiac valve prosthesis |
CN112955207A (en) | 2018-10-09 | 2021-06-11 | 林弗洛公司 | Apparatus and method for catheter alignment |
CN109199540A (en) * | 2018-10-15 | 2019-01-15 | 中国医学科学院北京协和医院 | Venous valve hymenotome and its system |
EP3880101A2 (en) | 2018-11-14 | 2021-09-22 | Medtronic, Inc. | Devices for preparing a valve for a transcatheter valve replacement procedure |
JP2023500067A (en) | 2019-11-01 | 2023-01-04 | リムフロウ・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツング | Devices and methods for increasing blood perfusion to distal limbs |
US11304723B1 (en) | 2020-12-17 | 2022-04-19 | Avantec Vascular Corporation | Atherectomy devices that are self-driving with controlled deflection |
CN113143412B (en) * | 2021-06-28 | 2021-09-24 | 中国医学科学院北京协和医院 | Venous valve resection instrument |
Family Cites Families (17)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1167014A (en) * | 1915-06-25 | 1916-01-04 | William R O'brien | Veterinary surgical instrument. |
GB1069398A (en) * | 1964-10-29 | 1967-05-17 | Ake Samuel Gidlund | An instrument for biopsy in the stomach and the bowels |
US3837345A (en) * | 1973-08-31 | 1974-09-24 | A Matar | Venous valve snipper |
SU537676A1 (en) * | 1975-04-04 | 1976-12-05 | Киевский научно-исследовательский институт клинической и экспериментальной хирургии | Device for the destruction of venous valves |
US4290427A (en) * | 1979-11-26 | 1981-09-22 | Thomas J. Fogarty | Endarterectomy apparatus |
US4273128A (en) * | 1980-01-14 | 1981-06-16 | Lary Banning G | Coronary cutting and dilating instrument |
US4493321A (en) * | 1982-05-25 | 1985-01-15 | Leather Robert P | Venous valve cutter for the incision of valve leaflets in situ |
US4765332A (en) * | 1986-07-14 | 1988-08-23 | Medinnovations, Inc. | Pullback atherectomy catheter system |
US4785826A (en) * | 1987-03-02 | 1988-11-22 | Ward John L | Biopsy instrument |
US4878495A (en) * | 1987-05-15 | 1989-11-07 | Joseph Grayzel | Valvuloplasty device with satellite expansion means |
DE3717926A1 (en) * | 1987-05-27 | 1988-12-08 | Leibinger Medizintech | Venous valve incision device |
US4952215A (en) * | 1988-02-29 | 1990-08-28 | Boisurge, Inc. | Valvulotome with leaflet disruption heads and fluid supply |
US5026383A (en) * | 1989-06-14 | 1991-06-25 | Nobles Anthony A | Apparatus for in-situ cutting of valves within veins and method therefor |
US5092872A (en) * | 1989-07-28 | 1992-03-03 | Jacob Segalowitz | Valvulotome catheter |
US5047041A (en) * | 1989-08-22 | 1991-09-10 | Samuels Peter B | Surgical apparatus for the excision of vein valves in situ |
JP2690162B2 (en) * | 1989-11-28 | 1997-12-10 | オリンパス光学工業株式会社 | Venous valve opener |
US5084010A (en) * | 1990-02-20 | 1992-01-28 | Devices For Vascular Intervention, Inc. | System and method for catheter construction |
-
1992
- 1992-04-09 US US07/865,850 patent/US5304189A/en not_active Expired - Lifetime
-
1993
- 1993-04-09 AU AU39766/93A patent/AU673522B2/en not_active Ceased
- 1993-04-09 WO PCT/US1993/003358 patent/WO1993020764A1/en active IP Right Grant
- 1993-04-09 CA CA002131702A patent/CA2131702C/en not_active Expired - Fee Related
- 1993-04-09 US US08/313,229 patent/US5601580A/en not_active Expired - Lifetime
- 1993-04-09 ES ES93909302T patent/ES2151905T3/en not_active Expired - Lifetime
- 1993-04-09 DE DE69329466T patent/DE69329466T2/en not_active Expired - Fee Related
- 1993-04-09 JP JP51850193A patent/JP3321165B2/en not_active Expired - Fee Related
- 1993-04-09 EP EP93909302A patent/EP0680281B1/en not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
JPH07505796A (en) | 1995-06-29 |
EP0680281A4 (en) | 1994-12-14 |
EP0680281B1 (en) | 2000-09-20 |
US5601580A (en) | 1997-02-11 |
AU3976693A (en) | 1993-11-18 |
DE69329466T2 (en) | 2001-02-08 |
US5304189A (en) | 1994-04-19 |
AU673522B2 (en) | 1996-11-14 |
WO1993020764A1 (en) | 1993-10-28 |
ES2151905T3 (en) | 2001-01-16 |
JP3321165B2 (en) | 2002-09-03 |
DE69329466D1 (en) | 2000-10-26 |
EP0680281A1 (en) | 1995-11-08 |
CA2131702C (en) | 1999-03-23 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request | ||
MKLA | Lapsed |